Innovations in Community Care Management

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Table of Contents

List of Figures
Preface
Ch. 1 Introduction 1
Community care and inter-agency coordination 1
Study design and objectives 1
The complexity of the policy context: the barriers to inter-agency coordination 11
Management and inter-agency coordination 16
Empirically-derived imperatives for successful inter-agency coordination 24
Structure of the book 25
Summary 26
Ch. 2 Historical and Policy Contexts of the Five Projects 30
Waltham Forest Specialist Housing Consortium 31
Southwark Drug and Solvent Misuse Services 32
Weatherdale EMI Unit, Birmingham 40
Ditchburn Place, Cambridge 43
Bowthorpe Hall Mental Health Day Centre, Wisbech 45
Summary 48
Ch. 3 Joint Management Arrangements for the Five Projects 51
Autonomy: legal status, funding and staffing 51
Structure and function 63
Summary 88
Ch. 4 Minimising Vulnerability: Clarity of Purpose 92
Sources of vulnerability 93
Measures to minimise vulnerability 93
Summary 106
Ch. 5 Minimising Vulnerability: Commitment and Shared Ownership 108
Sources of vulnerability 109
Measures to minimise vulnerability 109
The role of the representatives 131
Differences of view within the DHA 133
Conflicting commitments 137
Variability of motivations 140
Summary 143
Ch. 6 Minimising Vulnerability: Robust and Coherent Management Arrangements 146
Sources of vulnerability 147
Measures to minimise vulnerability 147
Clarity of responsibility and accountability 148
Joint management principles and policies and service principles and policies 164
Structure, composition and linkages 170
Summary 178
Ch. 7 Minimising Vulnerability: Organisational Learning 182
Sources of vulnerability 182
Measures to minimise vulnerability 183
Summary 187
Ch. 8 Summary Analysis of the Five Projects 191
Waltham Forest Consortium 192
Southwark Drug and Alcohol Misuse Services 195
Weatherdale Unit, Birmingham 200
Ditchburn Place, Cambridge 203
Bowthorpe Hall, Wisbech 206
Ch. 9 Summary and Conclusions 211
Clarity of purpose 214
Commitment and shared ownership 215
Robust and coherent management arrangements 217
Organisational learning 220
Appendix 1: Principles for the Waltham Forest Special Needs Housing Consortium 226
Appendix 2: Waltham Forest Consortium: Division of Responsibilities 228
References 231
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